| NPI | 1205873270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D EBERHART President 574-258-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 8569) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |